MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT

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Facility Information

Facility Name
OZARK ACTION, INC.

Facility DVN
000693512

Phone
(573) 674-2100

Physical Address
123 CEDAR ST
LICKING
MO 65542

Owner
OZARK ACTION, INC.

Mailing Address

Provider/Director
WALLACE, CYNTHIA ANN

E-mail Address
slay@oaiwp.org

Incorporated
Incorporated

Child Care Specialist
ELAINE S COX

Age Range
36 MONTHS - 5 YEARS

Capacity
20

Facility Type
GROUP HOME AND CENTER

Limitations

Inspection Information

Date
03/15/2019

Arrival Time
N/A

Departure Time
N/A

Notice
N/A

Inspection Type
COMPLIANCE VERIFICATION

Inspection ID
2352373061

Document	Document-Date
SANITATION INSPECTION	02/26/2019
DIRECTOR'S QUALIFICATIONS	10/04/2013
DIAGRAM/OUTDOOR	02/02/1995
DIAGRAM/INDOOR	02/02/1995
LOCAL ZONING APPROVAL	12/27/1995
JOB RESPONSIBILITIES	03/08/1996
APPLICATION	01/25/2018
EQUIPMENT LIST	01/22/2018
STAFF SHEET	01/22/2018
CERTIFICATE OF GOOD STANDING	08/21/2017
ARTICLES OF INCORPORATION	11/03/1965
CHILD CARE PRACTICES	08/08/2014
DISCIPLINE POLICIES	08/08/2014
LOCAL BUILDING APPROVAL	04/05/1996
DAILY SCHEDULE	05/18/2017
DISASTER AND EMERGENCY PREPAREDNESS PLAN	02/20/2018
LOCAL FIRE DEPARTMENT NOTIFICATION	02/20/2018
SAMPLE WEEKLY MENU	02/20/2018
FIRE/SAFETY INSPECTION	01/02/2019

Inspection determined facility to be in compliance with licensing rules.

Open Violations: NA

NOTE

The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.